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NPI Code Detail

MEDICARE: JARRED YEP

MEDICARE: JARRED YEP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist052675NY

General Provider Information

NPI Number : 1013230200
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARRED YEP
Provider Business Mailing Address
First Line : 723-725 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222
Country : US
Telephone Number : 718-383-7967
Fax Number :
Provider Business Practice Location Address
First Line : 723 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-2909
Country : US
Telephone Number : 718-383-7967
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2010
Last Update Date : 09/30/2013

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Directions to “ JARRED YEP ” Practice Location

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